An attribution model of stigma towards a person with Alzheimer's disease Perla Werner Faculty of...
-
Upload
gavin-hunter -
Category
Documents
-
view
222 -
download
7
Transcript of An attribution model of stigma towards a person with Alzheimer's disease Perla Werner Faculty of...
An attribution model of An attribution model of stigma towards a person stigma towards a person with Alzheimer's diseasewith Alzheimer's disease
Perla WernerPerla Werner
Faculty of Social Welfare and Health Faculty of Social Welfare and Health SciencesSciences
University of HaifaUniversity of Haifa
IsraelIsrael
Alzheimer’s diseaseAlzheimer’s disease
Incurable, degenerative and Incurable, degenerative and progressive diseaseprogressive disease
Affects mental, cognitiveAffects mental, cognitive
and physical functioningand physical functioning
AD is the most common type of dementia
6 out of 10 cases of dementia are AD
PrevalencePrevalence
There are an estimated 30 million people with dementia worldwide.
By 2050, it is projected that this figure will have increased to over 100 million.
Stigma and ADStigma and AD
It is widely assumed that AD is It is widely assumed that AD is associated with stigmaassociated with stigma
Scant empirical evidenceScant empirical evidence
Theory - drivenTheory - driven
Attribution modelAttribution modelCorrigan and colleaguesCorrigan and colleagues
Attributions ofAttributions of responsibilityresponsibility Emotional reactionsEmotional reactions DiscriminationDiscrimination
DangerousnessDangerousness
AimAim To examine the relationships To examine the relationships
between causal attributions (e.g., between causal attributions (e.g., responsibility), familiarity with the responsibility), familiarity with the disease, dangerousness, emotional disease, dangerousness, emotional responses (pity, anger, fear) and responses (pity, anger, fear) and helping and discriminatory helping and discriminatory behaviors (avoidance, segregation, behaviors (avoidance, segregation, coercion) towards AD in the lay coercion) towards AD in the lay publicpublic
MethodsMethodsA nationally representative A nationally representative
sample of 1,002 adults sample of 1,002 adults Were interviewed using CATIWere interviewed using CATIAdapted version of the AQ-27Adapted version of the AQ-27
Participants’ Participants’ characteristicscharacteristics
(n = 1,002)(n = 1,002) 52.6% F52.6% F
Mean age = 46.5 (SD = 17.7)Mean age = 46.5 (SD = 17.7)
Mean number of years of education Mean number of years of education = 13.5 (SD = 3.4)= 13.5 (SD = 3.4)
Jewish 83.9%Jewish 83.9%
Cognitive attributionsCognitive attributions
2.2 2.2
1
1.5
2
2.5
3
Dangerousness Responsibility
Emotional attributionsEmotional attributions
6.8
2.1 2.1
1
2
3
4
5
6
7
8
9
Pity Anger Fear
Behavioral attributionsBehavioral attributions
4
6.1
4.5
6.4
1
2
3
4
5
6
7
8
9
Segregation Coercion Avoidance Help
Responsibility
Dangerousness
Pity
Help
Model for willingness to help Model for willingness to help (n = 1,002)(n = 1,002)
Chi square = 7.57df = 3p = 0.56NFI - .979RMSEA = .039
Familiarity
-.09**
-.08**
.44
.-15***
.31***
.-08**
Model for discriminationModel for discrimination
ResponsibilityCoercion
Segregation
AvoidanceFamiliarity
Dangerousness
Fear
.31***
.-07*
.12***
.12***
-.08** .14***.11**
.64***
.30***
.-08*
.-16***Chi square = 12.44 df = 3p = 0.13NFI - .990RMSEA = .024
Relationships with Relationships with gendergender
1
2
3
4
5
6
7
8
Pity Coercion
Male
Female
Relationship with Relationship with ethnicityethnicity
1
1.2
1.4
1.6
1.8
2
2.2
2.4
2.6
2.8
3
Dangerousness Responsibility
Other
Jewish
Relationship with Relationship with ethnicityethnicity
1
2
3
4
5
6
7
Pity Anger Fear
Other
Jewish
Relationship with Relationship with ethnicityethnicity
1
1.5
2
2.5
3
3.5
4
4.5
5
Segregation Avoidance
Other
Jewish
Summary of findingsSummary of findings
Low attributions of responsibility Low attributions of responsibility and dangerousnessand dangerousness
Low negative feelingsLow negative feelingsHigh positive feelingsHigh positive feelingsPartial support of an extended Partial support of an extended
version of Attribution Theoryversion of Attribution TheoryMinority and younger Minority and younger
participants reported less participants reported less discriminatory behaviors discriminatory behaviors
Theoretical implicationsTheoretical implications
The role of other attributions The role of other attributions should be examinedshould be examined
The role of other emotional The role of other emotional reactions should be examinedreactions should be examined
The role of ethnicity and The role of ethnicity and culture in the attribution model culture in the attribution model should be elucidatedshould be elucidated
Practical implicationsPractical implications
Disseminate findings in order Disseminate findings in order to increase early diagnosisto increase early diagnosis
Develop and implement Develop and implement programs to increase the programs to increase the familiarity and knowledge familiarity and knowledge about ADabout AD
Replicate study in professional Replicate study in professional samplessamples
Thank youThank you